Loading...
HomeMy WebLinkAboutMYERS LT 2 :Municipality of Anchorage Page ~of DEPARTMENT OF HEALTH AND HUMAN SEFtVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:'¢~J ¢JZJr50~""-~ PID Number: ~ '- I~ ~ - ~ ~ N.~: ~w~ ~ ~A~ ~ Wastewater System: u New ~Upgrade Addre8,: 1~ISG ~~J~ ~. ~¢~ ABSORPTION FIELD hone: ~_~ Nc. olD, rooms: U Deep Trench ~ShallowTrenoh ~Bed UMound UOther Total Depth lrom original grade: LEGAL DESCRIPTION so~[.~.~: - 8 ~.~/s~.~. ~' 9~ ~' Subdivision: Depth to pipe botlom from original grade: Gravel depth beneath pipe Lot: ~ Block: t ~5 ~ ~ 1 ~ ' Ft. · ~ . Ft. Section:~ Fill added ~bove origina~grade: Gravel I~: ~~  ~ New ~ Upgrade ~ c¢=.;,..,...,,~/ N,mb~rof,,~s: Distanc~ between lines: ~ /~ Ft. ~ ~'~ Ft. ~lasslflcation (Prl~ Total De~ ~ed To: Total absorption area: Pipe material: ~rilier: ~ Ft. Ft. ~ ~ SQ. Ft. %6~ ~ ed: SlaticWater Level: Installer: _~ . Date installed: / ~ GPM I ~ Ft. SEPARATION DISTANCES u s~pti~ ~~.T.S.P. . From %ank Field StaUon Tan~ Sawer Lines ' Well :~ ,~,, ~,, ~/~ ~,~ ~r~ N.mberofOompar,~~ Siz~g~lo n s: Manufacturer: Lot Line .. ~.. [0/ %~1 ~l~ ~Q~~ ~ %" t I "Pump off" level at: High water alarm at: Curtain "/* ~1' ~)~ ~/~ Pump Make & Model Electrical Inspections performed by: Drain .... 0~0 ~ ~~ 1~¢ Remarks: ¢o'~U~ ~¢~¢ 5~0 L~ BENCHMARK Location and Description: = ,~m~ ~. '~ . 8 ~o/~~ j Ioo .oo ~, ~~0~ ~ ~g ~~ ~g ~j~;, ' A~ ENGINEER'S SEAL ~ i~~ ~ ~¢p~o~. ~ ~ , B ~.l F~~ ~_,,, ,// Inspections performed by: _ ~_ ~;* Da{es: 1si G~¢~ ' ~~/~~ ~~.~~ . 2nd ".~/,'~' Reviewed and approved ~~ · Date:~ 72-013 (Rev. 9/91) MOA 25 ;t- Permit No. 5~v~14-'¢o~:?:,, Page ... Municipality of Anchorage " '" DEPARTMENT OF HEALTH AND HUMAN SERVICES " 'ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 · Anchorage, Alaska 99519-6650 ° Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report L.egalDescriptio~: Lo-r'~_j Bv--d_.) ~,,~W~_Fz.~ %/~ PIDNo.: 72.013A(1/93) * Alaska W~ter & Wastewater Services "Preserving The Last Frontier" MEMO FAX : 338-3246 PHONE: 337-6179 DATE: NUMBER Of PAGES: (Including Cover) Sincerely, ~;Jeffrey A. Garness, Owner/Consultant P.E. , M.S. ~ '-: Telephone: (907) 337-6179 · Fax: (907) 338-3246 . 8471 Brookridge Drive · Anchorage, Alaska 9950'4 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 2 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940053 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER NAME:DAY STEVEN G ~ JANET S OWNER ADDRESS:iS136 GOLDEN VIEW DR. ANCHORAGE AK 99516 DATE ISSUED: 3/18/94 EXPIRATION DATE: 3/18/95 PARCEL ID:01711271 LEGAL DESCRIPTION: MYERS LT 2 LOT SIZE: 49664 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ENGINEER MUST CONFIRM INTEGRITY OF EXISTING SEPTIC TANK. SYSTEM APPROVED FOR OWNER INSTALLATION. SIEVE ANALYSIS OF SAND FILTER MATERIAL MUST BE PROVIDED BY ENGINEER. ENGINEER WILL CONDUCT ADDITIONAL PERC TEST NEAR SOUTHEAST CORNER OF PAGE 2 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 SYSTEM TO CONFIRM SOIL TYPE AND PERC RATE. THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN COURSE SAND WITH 4% OR LESS PASSING THE 100 SIEVE AND 2% OR LESS PASSING THE 200 SEIVE. RECEIVED BY: ISSUED BY: Alaska Water ge Wastewater Services "Preserving the Last Frontier" DATE: TO: MEMO FAX : 558-5246 PHONE: $37-6179 NUMBER OF PAGES: (Including Cover) COMPANY: SUBJECT: MESSAGE: Sincerely, '" Jeffrey A. Garness, P.E., M.S. Owner/Consultant 'l'(dephone - Fax 338-3246 m 8471 Brookridge Drive * Anchorage, Alaska 99504 Alaska. Water gz Wastewater Services "Preserving the Last Frontier" January 27, 1993 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section P.O. 8ox 196650 Anchorage, Alaska 99519-6650 RECEIVED FEB 1 1994 Municipality of Anchorage Dept. Health & Human Services Ref: Septic System Upgrade for- Lot 2, Myer S/D To whom it may concern: Attached is the application, site plan, and design drawings for the subject septic system replacement. Comments regarding the proposed system are as follows: GENERAL: Due to the location of existing bed, the utility easement (which parallels the south property line), the location of the driveway, and presence of a cutbank to the west, there is minimal space on this property to put a new drainfield. I am proposing to put the new bed (triangular shaped) on the southeast corner of the property. ~revious ~ater monitoring done by Leroy Reid, P.E. (9/86) indicated that groundwater was At a depth of 10 feet. Th~s is consistent with my groundwater monitering en 1/25/94. Due 'to the fact that water monitoring has been done only during the fail and winter, I am concerned thM; a greater separation distance is necessary to ensure that the 4 foot sep&ration distance is maintained during 'the spring. Therefore, I am proposing to place the bottom of the bed at a depth of S feet below grade, providing a 7 foot separation to groundwater during the fall/winter, ~nd ideally a 4 foot sep&ration during the spring. This will require the installation of ~ lift station, and placement of a sand filter (Lake Otis gravel) down to the SP or 6W-GH layers encountered in the percolation tests. In addition, to improve the operation of the system, pressurized distribution ~i1]. be utilized. 2. BED DESIGN: As can be seen from reviewing the attached percolation test results, the soil. "perked" at minutes/inch at the genera], location proposed for the system. For a bed system, this corresponds te an application r~ate of .8 gPd/ft2. However, the previous pe rcolation~eb~done by LerOy Reid (7/9/88) indicated percolation rate of 8 mir/inch, therefore, I am proposing to use it since it is more conservative. This corresponds to Telephone - Fax 338-3246 ® 8471 Brookridge Drive ® Anchorage, Alaska 99504 an application rate of .5 gpd/ftz. A portion of the proposed bed lies outside the 30 foot radius of either test hole, therefere, it will be necessary to verify the suitabili'ty of the outlying soils during construction. Since the existing home has S bedrooms, the total design flow is 450 gpd. Based upon this, the minimum amount of absonption area is 900 ftJ. The proposed bed has an anea of ~. SURFACE WATER: There is an existing creek which parallels the north property line. The new bed and lift station will be greater than 100 feet: from this creel(. 4.. TOPOGRAPHY: The ]Lot is relatively flat (<5~) in the area for tine proposed bed, however, approximately 60 feet to the west there is a 50~ cutbaDk which drops about i0 feet and then leve].s out at 5-10~ towards the west. The existif]g bed is only about 20 feet from this cutbank, is operating in a surcharged condition, and does not appear to be daylighting out the side of this cutbank. 5. UTZLIZRTION OF EXISTING DRAINFIELD: Pl~ase note that the existing [)ed is going to be connected to the new system via an alternator valve. I am unaware of any negative impacts that this installation would impose on ~djacent wells, or septic systems. have any questio , please call me a 557-6179. Sincerely, JAG/jag Savage4.WPS If yeu · ~FA i~NI(~UNT ~/~> 'pP_..F_P,aC_..e-.b 5"/ : ALA¢Y-A WA -'r'F_..~ ~ WAS'TEWA~'E.P~ ;~m~ \/'z.,G/~',~ 1'b~'p'WN: ~'A~-~--q $C,A-L-,F___.; /"=/00/ Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 .. SOILS LOG -- PERCOLATION TEST LEGAL DEScRIPtIoN: L~Cr-[- ~-) , ,~ 't~",~ ' SITE PLAN DATE PERFORMED: ~'~, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Township, Range, Section: /"///'~ SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WNAT E Monllorln~? I (~ , Oat*: I 2, Gross Net Depth to Net Rea'ding Data Time Time Water Drop ' '//~/~l,~- '(3 10 '¢v,,',"l h'A/f/'~ 4v;~," .~ 3o ~,~ lo u .¢ PERCOLATION RATE '~ · ~ (minules/inch) PERC HOLE DIAMETER ~ // TEST RUN BETWEEN --~,'~, FTAND "7 . ~-----F+ PERFORMED BY: 4~ ~~ I ~ ;~ CERTIFY THAT THIS T~'T WAS PERFORMED IN 72-008 (Rev, 4/85} · (ENGINEER'S /,,, '~ ; ~,~, ,. '. / Municipality o! Anchorage , / '- DEPARTMENT OF HEALTH & HUMAN SERVICES ~ 825 "L" Street, Ancl~orage, Alaska 99502-0650 ? SOILS LOG -- PERCOLATION TEST ~.. /~ERFORMED FC)R:~,~!'~-~'Q¢-' ~'one$ DATE PERFORMED:, LEGAL DESCRIPTION:-,L/,r~4~',',.'~J /p~¢/*i'~ ..~'G 't~ Township, Range, Section: $ e~ 3'w 7'/[ ~.3~ SLOPE SITE PLAN .'*' o~r~ ' I~ ~rr,'~l~ 10 WAS OROUNO WATER ENCOUNTERED? 11 IF YES, AT WHAT ~ , ~ 12 DEPTH? -[ p E Reading. Date ~ _Net Depth to Net ime Water Drop _ -~ ~- .~o - /000 /5~ ~ ~ '~0 zO ~ - ~ /oD0 3o _ ~t. .. _ IOO3 3o - 14 15 16 17 PERCOLATION RATE -- {minutes, inch) PERC HOLE DIAMETER~/~ -:'. ' ' ' TEST RUN BETWEEN~"z' FTAND FT '. PERFORMED BY: t~~'.5 ,__ I . ~ Z~-~''~''~- CERIIFY THAT IHIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND M~UNICIPAL GUIDELINES IN EFFE ON THIS DA~[ E DATE . 8 9 10 11 12 13 14 15- 16- 17 18 19 20 Municipality oi Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION:, Lo'f Z.. 1 OL 2 3 5'P DATE I~ERFORMED: (ENGIN~EAL) Township, Range, Section: SLOPE SITE PLAN WASGROUND WATER ENCOUNTERED? YES, AT WHAT IF DEPTH? / Oeplh Io Waler After /~ Mofliloflng? Date: Reading Date Gross Net Depth to Net - Time Time Water Drop PERCOLATION RATE {m~nules/mchl PERC HOLE DIAMETER TEST RUN BETWEEN __ FTAND __FT :. COMMENTS .S'o,'I 'lCu#~ ~ /o /0 u,','.,.~/'V ",'-/t,,/ I~JDZT'/4~ ~X ..... -~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON ~S DATE. DATE: 72-008 (Rev. 4/85) March 7, 1994 MOA - Dept. of Health & Hummn Services PO Box 196650 Anchorage, AK 99519 Attn: John Smith - Program Manager On Site Services Re: 15136 Goldenview Drive, Anchorage Owner I~tallation - Septic Dear John, As discussed in our phone conversation in February I would like to perform the installation of the new septic system at my home located at 15136 Goldenview Drive in Anchorage. Per your request I am writing this letter to give you my employment and experience history in the field of water and sewer installation. For the past 19 years I have been employed by Prosser Construction Company installing underground utilities in the Anchorage area. I beg~n working for Prosser in 1974 as a pipelayer. In 1980 I was promoted to a position shooting line and grade on pipe work as well as operating heavy equiprm~nt as needed on the job. In 1983 I was promoted to foreman overseeing all residential and c~,~,~rcial pipework projects. My current position with Prosser is Superintendent. My experience with Prosser has encompassed a large variety of projects from single family residences to the $12 million dollar Eagle River Treatment Plant expansion, a three year project in itself. On the Eagle River contract I shot line and grade as well as supervised the installation of all the exterior piping. This included piping from3/4" high pressure lines to 48" lock joint ductile iron gravity lines with all types of piping iD_between. After 19 years with Prosser Construction I feel I have an extensive background in all phases of underground utility wolt from the actual installation of the pipe to operating equipment and setting the pipe to proper grade and ali~t. I feel I am more thanqualified to perform my own installation andam requesting permission to do so. The only subcontractors I expect to need on this project are Anchorage Tank and Welding for the lift station and an electrician to do the wiring. My materia].s willmost likely come from Kenai Supply, Anchorage Sand~%d Gravel, ~d Lake Otis Sand and Gravel. I hope I have supplied you with the infomnation you needed. ]Feel free to contact me at my home @ 345-4876 if I can be of any further assistance. Steven G. Day \ 15136 Goldenview Drive, Anchorage, Ak 99516 ' i MUNICIPALITY OF ANCHORAGE DE tTMENT OF HEALTH AND HUMAN SER', ,~S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~o t E 7'~. do,~ /¢o~L 3'Y- / -fo Phone{s} Permit No. ~No el~roorns j1 Block ~ J Subd~ws~on TANKS ~ SEPTIC ~] HOLDING - Mater,al 5f'el ~ NO. of C~n~e~,ts TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN ~ OTHER or,glna, grade 5 FT F T I Fdl added above orlgu/al grade FT WELLS [~ PRIVATE Classd~c~thon [A.B.C) I~ OTHER fldentifv) 1 - FT REMARKS: DISTANCES WELL SEPTIC ABSORPTION TANK I:IELD 40 ~o WELL LOT LINE .'5 0 FOUNDATION S' r,/ AS-BUILT DIAGRAM [Show Iocahon el well. septic system, p[opeHy hnes. foundahon. OVer CJfe 6,~ L~d~~T'~~1~* m=~,"~,.~'aq t'4~ Inspections Performed by: I -~~~'¢"~ ~. certify Bat this i,spection was pedorllled accordin{i Io all Municipal~and ~,te CdeJine, ie effect 0n this datm __ ¢ -~'- f'6 H e al lb Depart merit Approval: ~~/'~~' C Date, ~~4 72-013 (3/85) ENGINEER'S SEAL A clkorage P,O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 70NY KNOWLES. MA YOR DEPARTMENT OF HEAl. TH & HUMAN SERVICES December 29,1986 Mr. John Myers 701 E. Tudor Rd. Suite 170 Anchorage, Alaska 99503 Dear Mr, Myers, On December 2,1986 this office received as-builts for lots one and two of Myers Subdivision. As the permits for these lots were issued for both well and septic installation we cannot approve the as-builts until we have received the well logs. As we are sure you wish to handle this matter as soon as possible, please contact this office at 264-4744. Thank you for your cooperation. Sincerely; Daniel N. Bolles Engn. Tech. DHHS ,3 O1' ff,.I MYERS 70 1 I:ii;. T'UDC!F;~ I:;:D ,, ST ,, A bi CI- IC}I:.;,'A G IE, A I::: 9':25 () ;'}; 562 ". 2 [iii '. '.:.i 5 ;I. 7() BI....C)CK: N/A L. J. % t. E?(::I t;) C.:.;, ]. C:, ..,,, ~:~ P (,:,:~ 'I'.. [ I (.:.::, (] p t. :i. [;)1'] !~i~ ?..9.'v' &~ i ], ¢::'~ [) ], (;i:, t. (::) y C) t..t i I'i CI (:~, S :i. g I~ i Fi (:1 \,' I:]t..( P E~ (:~) p t. i C: s'¢st, em ,, CI"~ (::~c>s c~ the ×:)E:F"!'H 'f'O t:::'Ir::'!Z LC)'t"'IOM (1:::"1 , ) (~'~Fd)VEJ... :t}lili;l:::'l H (I::'T,, TOTAl... L)I!!:]:::"!,LI (1:::']',,) E;RAVI::~]. !.9 ID'T].I (F:T. L.~RAVE:].. I..IENL.)T'I.I (I:'T,) (?'.';F;;AVIE[.. VC}I..I. JMI~: (C!..I. YDS,, ) FAb. II< SIZE (GAI.S) SOIL. RATIIqG (SQ,, I:::' T,, /BR) · ¢(:)r'l:.h by t. lu-...:, Mun:i.c:ipal:i.t.¥ or ArH:::hc)r'ag~;.-:, (MOA) al]d t. he:, 2~,, :t: !,?i ] I :i. lls'l:.c~l 1 tl'l(:,~ syst. i.:em :i.n acccn"ch:,u"m:(..~:, ~,-.~:i 'LI"~ al i[ MOA c:c~cle!:~; ,:¢'d"~d t'(.?guI,";~l:. :icins, arid :i.r'i c:Cm~l:::,l:i.,~':q"H:::e t.'~it.l'l the (:h:~'.::,:i. gn c:l':i.t, er':i.a oI:' this :3,, I ~,',¢:i.:! 1 ac:lh~me 't'.o all MOA ar'icl State (::~ A:l~:usl.::~..~ pr::,i::ll.t:[.t,0.¢m,:;:.)rlt~.i~ .i-'or' the:, s(:.,xt:, b,:'=u::k l:[ :i. !~iF[.,?:'d'H:::(:'~!~; ~' PC:,m ar'i'y' (i.')x :i. !i!!.t. :i.i'i(.'l k.¢E,]. 1 ¢, k.,~a!iyl:.C.;,W?iVl:.¢l~- !::1 :i. spt, sa 1 sy,:.;t~.~,:,m or' pub I :i. ,'::: E?,'?t'".iIF~r' ~':"~ (..] 67 !ii~yt!:F[.E;,I~i C}I] 'l'.h :i. s (::~i' ~.':'~r'ry ,::.'u::lj a(:::,:~:.?r~t. (::)r' I'i(');'h:'~lP I]y ]. cia, /I.,, ;[ u.r'i(::l(':.:,l'!~!.i:&'d'lc:l I-..l'i~.:t'!: [:.his i:::,d..H'rni'!: :i. Ei v,:::~].id {','.'::,1' ,'~t [fh':';U.(:[[flt.U'r~ ,'~ir'/y ~:i'."]i].a:~P(..!(.;~ffH.~)Fi'i'. (,9ii[]. I"(."![:ll.t:i.r'6? an add:i.t.:i.c)na:l p,'..::.:,r'm:i.-?.,, ;.~IA[~.[..II :t:'.ii~ II',IS'I"AI..Lli_::~i ]:1',1 AN AI:::.:EA COVE:I::;'Ii:i';0 :f:f HOA BUILDING CE)DES, TI-IEIx. (I) AN E]...IZCTI::~!CAI... I:::'EI::;:M:I:T hlxlD INSI::'IZ[;TIOI'q MUST BE OBTAINEDI (?.) AS-.BLJ lCd ri I N(:)'I ...... ......... (. c. AI::'F'I::~O~/i~:L) W [THOU'T AN IZI...EC'I'RIC;:hL. IIxlSF'I~]::yi"ION RIZ'- ..)RT; AND (3) 'TflE ~ I...I~:C; ['R I CAI. t.~.I[:)RK I"ILJS F BE DC)bilE BY A "C. IEN :~;[:~'~' IEI.JEE;]'I::;:I E;I AN. AI:::'I:::'L.ICAh!'I: JOHIg I'"IYEJ;RS so 8 9 ~0 12 ~3 ~4 ~7 ~8 ~9 20.- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~ LEGAL DESCRIPTION:, Lo'l- I Ob 2 3 6P DATE PERFORMED: Township, Range, Section: ,~-~ 3 ~t T t ~- t~ N-~ ~-,F' WAS GROUND WATER ENCOUNTERED? 72-008 {Rev. 4/85) PERCOLATION RATE __ (m~nutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN __ FTAND v,:~ ~,,/~ v ,',,ye,.( /._,~'~ r.Z'/4~ Z-'x ~ .... ¢, ,- I ~¢~ ~IFY THAT THIS TEST WAS PERFORMED IN DATE: COMMFNTS ~'o,' I ~ ~,~e,~'t'~ ~e- of'c ~c~, PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE. Reading Date Gross Net Depth to Net Time Time Water Drop SLOPE SITE PLAN S YES, AT WHAT IF DEPTH? JO p E Deplh to Water After /0 Mofliloring? _ (]ale: _ M Bq- 4=-'-,' o4- w ¢, lot ti ! 'z')Lt c. RE~O, 2251 IOP OF FOUNDATION WALl. EI. EV: · ELEVATIONS SASED ON ~.~--~-~ 0 ~'~ 1~-'" ~:~ DATUM. PREPARED FOR: PLOT PLAN DRAWN J DATE ! GRID 7'e .s r IT SHALL BE THE RESPONSIBILITY OF THE BUILDER OR OWNER TO VERIFY THAT ~UILDINS LOCATION SHOWN MEETS ALL SUBDIVISION COVENANTS AND LOCAL ZONING CODES AND ORDINANCES. LOT Z , BLOCK - - SCALE ,0. I HEREBY CERTIFY THAT ALt FROPERTY CORNERS EXIST THIS DATE AS SHOWN. Municipality ol Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 3 4 8 9 0 10 11 12 WAS GROUND WATER (ENGINEER'S ,~EAL) DATE PERFORMED: q .,,J~.,/~/' Township, Range, Section: $ SLOPE ENCOUNTERED? IF YES, AT WHAT DEPTH? I~ ~ 14 15 16 17 SiTE PLAN 18 19 20 Reading Date PERCOLATION RATE __ (~ro$$ Time ?~'8 oo /o~ O0 Net Time Depth to Water .6o .35' Net Drop ZO '/~ · /! (mmu!es,~nch) PERC HOLE DIAMETER TEST RUN BETWEEN__~//2, F'I' AND 0" FT PERFORMED BY: _,~e5 I , ~ .~'~ CERTIFY THA, THIS TEST WAS PERFORMED ACCORDANCE WITH ALL S~ATE AND MUNICIPAL GUIDELINES IN EFFE~ ON THIS DATE DATE .E 501/2 PARKS HWY . .'- . '-.-. - ' ' :' LIFETIME~IL~A~KAN SERVING ALASKA 892-7950 P.O. BOX 772847, EAGLE RIVER ALASKA 99577 { OF LAND ....... .[~y. ar,~..CDJasyr, r. ll~l:;.D.[1 ..................................... DEPTH OF WELL ....... .~...~.~.-.1.~l..,~t ......... '...,.;'. ......................... :... ~SS ,.;PM..E Tudoz...SI.~I;~..J..'/.Q.,P~I~!!;..A.~:,.~.~.0...3.,.~ ..... STATIC LEVEL OF WATER FT...6fl£1:...:l~...ho. le,.;~s~ ................. ¥! ....................................................................... - SITE .. ' "". .... Lo,~.,1,,~ar, m.,,~ubd. .................................................... DRAW DOWN FT, - STARTED ..... ~x'..~.~.z:~.O ................................. '.'2....,'; ................... ~.~ GALS. PER HR..52~.....go!,.ke. ur...¢..~.%,. ........................................ 8 27 86 ' ', ~' \~" ''w'''k - ENDED ......... .v..'::_.c.':: ..................................................................... KIND OF CASING ,.~.4...1.~.:...~..C.~.: ~.~.0....,e.,a.,~..5..n...g. ............................. 3F FORMATION: , ( ROM ........ 0 ............ FT. TO ........~ ............. FT...o.Y.,?.r..b..u...r..d.,o...n. ........... ROM ........ .6. ............ FT. TO ........2..~. .......... FT. ,~.a...n..d...5..?°...r..a..v...e.~ .... ROM ........ .2.~. ......... FT. TO .......!..8. ........ ;. FT....h~.,..r..d.,~..a..n. .................. ROM ........ 7.8. ......... FT. TO ........g,,.~ ...... .... FT...q.qhh,l..~.t...o..n..e.. ........ ': ROM ........ .8..5. ......... Fr. TO .......H,9. .......... Fr..f, laX ......................... ROM ........ .8..9.. ......... FT. TO ........1...1..8. ........ FT...s...a..n..d.....&...g..r..a.y..e..1. .... ROM ...... .1,~..8. ......... FT. TO .........1..A.1. ........ FT. ROM ...................... FT. TO ...................... FT ................. ; .................. ROM ...................... FT. TO ...................... FT. ROM ...................... ~T,.TO ...................... FT .................................... ROM ...................... FT. TO ...................... FT .................................... ROM .................. i... FT. TO ...................... F! .................................... FROM ....................... F'r. TO ....................... FT ............................. FROM ....................... FT. TO ........................ FT ........................... :: - ·FROM ...............~,;....:. FT. TO'. ...... :....' ............ FT ......:. ................. ~.., ~ F~ROM ' FT. TO ........................ FT ............................ FROM ....................... FT. TO ........................ FT ............................ FROM ....................... FT. TO ....2: ................. FT ............................ FROM ....................... Fr. TO ........................ FT. i .......................... · FROM lt,,~UbtI~pALIw OF ANCH~PIAIDE ........................... D~PT."~JY'rqL'~TW & ............................. FROM ....................... d~LqV1J. P~) N M D',ITA L r, rote~¢oN · FroM ....................... FT. TO.F. .[0 ...... [.5..198 r. FROM..; ..................... FT. ........................... FROM ....................... FT. TO ..................... L. FT. . INFORMATION: No septic On site of drilling. No wa~anty or warranties · '~Hang pump 5ft' Off bott~.J P.O. Box 196650 MUNICIPALITY OF ANCHORAGE : i~ DEPARTMENT OF HEALTH & HUMAN SERVICES ! Division of Environmental ,Services: ;:i ~!:' On-Site Services Section Anchorage, Alaska · 99519-6650 · 343-4744, ' . - Parcel I.D. # CERTIFICATE OF HEAl. TH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description LoT ~_.) Location (site ad;dress or directions) '" Property owner · - Mailing address Lending agency Mailing address Agent Address Day phone ~'-4~'7~' '~'J'/P'- Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well "/, Community well NOTE: Public water ..~ ~., '-.... If community well system, provide written confirmation from State ADEC attest: ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site /, ·'' , : .': ':,":'i. i;~i ': : ' ";'.. Holding tank ' ' : ? '' Community on-site Public sewer ' If community we$tewater system, provide written confirmation from State ADEC attesting to the legality and status of system. NOTE: 72-025 (Rev, 1/91) Fronl MOA o STATEMENT OF INSPECTION BY ENGINEER " As ~er{ifi~d by my seal affiXed hereto and as of the validation date shown below, I verify that my inyestigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance With all Municipal and State codes, ordinances, and regulations in effect on the date of thi§tlnspection. Alaska Water & // WastewaterServlces _// / Phone ~'~ -zF~7(° Name of Firm 64~okr d.c¢ Ur. Address ~/An7~,¢~/0,/~A'' 04~/~ /7'/°/~1~ Engineer's signature //////~// Date':~ ':' ~' DHHS SIGNATURE _~ Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: By: 'f4111[fll The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent · professional engineer registered in the State of Alaska. The DHHS does this as a courtesyto purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze· data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's.work,~; .: ,., 72-025 (Rev. 1/91) Back MOA ~21 Legal Description: L_O-F ~-j A. Well Data MUNICiPALI IY OF ANCHOPu:~(~b Municipality of Anchorage ENVlR/~j~TAL SERVICES DIVISION Department of Health and Human Services ~ ~ 2 I 1994 HEALTH AUTHORITY APPROVAL CHECKLIST ECEiVED ~',~--% ~/.~ Parcel I.D. (b 1'7-//~- ~' Well type p p._~q~e,..~----~_ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) 'y~_-----~ Date completed ~ Driller ~_~1 Total depth ~z¥ I Cased to (,q- I Casing height Sanitary seal (Y/N) ""/F~- ~' Wires properly protected (Y/N) FROM W/ELL LOG AT INSPECTION Date of test . (it/;z? /13/° t,/3/c14- / Static water level 6o/(..~s ~,..5 -7 Z Well flow '~ (~'T, t-'~) g.p.m. ~ / Pump level1 t g G U~O l~j~.~otO SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot t~O~ ; On adjacent lots ~ Absorption field on lot [ )~ ~ ~ ; On adjacent lots ~ Public sewer main ~ ~ Public sewer manhole/cleanout Sewer se~ice line { ~O / ~ Petroleum tank ~ J~ ColiformWATER SAMPLE RE~i~)LTS: Date of sample: cj//,/~ ~ Nitrate - J h".c~,/J~ ~[,1~ Other bacteria Collected by: ~,~/2d-o.J ,¢-.5'--~' B, SEPTIC/HOLDING TANK DATA Date installed ~'/?.¢/~' Cleanouts (Y/N.)~ ~ Tank size Foundation cleanout (Y/N) Compartments ~. Depression (Y/N) ,,,-4 ~ / High water alarm (Y/N) /,,v ~ Alarm tested (Y/N) /'//,'~ Date of pumping ~,/2-'~'/R 4-") Pumper ~:)~--~/~' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO~ ~ ]~ e~t~ Well(s) on lot ~ ~0 - On adjacent lots ~ -> lo ~ Foundation To propedy line ~ ~ ' ~ - Absorption field lO zZ Water main/service line . Sudace water/drainage ~0 ~/~-- 72-026(3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manhole/Access (Y/N) "~ F_-- "Pump off" Level at .Cycles tested ~ Meets MOA electrical codes (Y/N) "'/~--- ~ SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot [ :~ (°/ ~-- On adjacent lots Surface water ABSORPTION FIELD DATA Date installed ~./~ ~/~ + Length Total absorption area .~'7~ 4- Date of adequacy test ~ Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) o ¢ System type Gravel thickness ~. Total depth p un,e. Cleanout present (Y/N) p,~T', Depression over field (Y/N) Results (pass/fail) ~ ~ for -.~ N~-~,u~/ After test /'¢ ,w~4- If yes, give date /- Bedrooms ! Well on lot I I ~ % SEPARATION DISTANCE FROM ABSORPTION FIELD TO: On adjacent lots :>'~ [o O Prope~y line To building foundation On adjacent lots Surface water Cudain drain HA,& Fee $ ,~OO, Date of Payment ¢-~'"/'- ~// Receipt Number To existing or abandoned system on lot s~ -,¢¢~-~_ ~- __~ Cutbank,d ~--~ - Water main/service line ///'Driveway, parking/vehicle storage area ENGINEER'S CERTIFICATION Zo' ~ ~-Ats~ ~. po ~uG~m~. ~ I cedi~ that I have checked, vefified, orco~ormed to afl MOA and H~ gu/defines in effect on the date of this inspection. Waiver Fee $ Date of Payment Receipt Number 72-026 (3,'93)' Back CT&E Ref.# Client Sample ID Matrix ClientNmne Ordered By Project Name Project# PWSID Sample Re~narks: Commercial Testing & Engineering Co. Environmental Laboratory Services LABORATORY ANALYSIS REPORT 94.4646-1 LOT 2, MYERS S/D TAP WATER WATER AK WATER & WASTEWATER SERVICES JEFF GARNESS UA WORK Order 82144 Prh~ted Date 09/14/94 ~ 12:57 hrs. CollectedDate 09/11/94 ~ 16:00 hrs. Received Date 09/12/94 ~08:15 hrs. Teclmical Director STEPHEN C. EDE Released By: ~/~ ~'. ~,,~' ROUTINE SAMPLE COLLECTED BY: GAlhN~SS. Parameter Nitrate-N QC P, esults Qual Units Allmvable Ext. Anal Method Limits Date Date Init 0.10 U mg/L EPA 353.2/300.0 10 09/12/94 CMA * See Special Instructions Above * * See Sample Remarks Ab o v e U= Undetecteck Reported value is the practical quantification limit D = Secondary dilution. UA = Unavail~le NA = Not Analyzed LT = Less 'lhan GT = Q'eat er ~hm~ 5633 B Street, Anchorage, AK 99518-1600 --Tel: (907) 562-2343 Fax: (907) 561-530I ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA MUNICIPALITY OF ANCHORAGE ~) / ¢'~ / DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date ! GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include I~t, block, subdivision, section, township, range) Location(address or directions) (b) Telephone: Home .~'~","~ ~'~"¢-~¢~'"' Business (c) Telephone M~ailing Addle.ss . "Mailir~g Address ' Real Estate Company and Agent (d) Address Telephone (e) Mail the HAA to the followina address: or: Check her8 old for pick List contact person and day phone number below. TYPE OF RESIDENCE Single-Family', Number of Bedrooms WATER SUPPLY Individual Well",[~. Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL .Onsite~. Public [] Cornmunity [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 fRev 8/86~ Fronl · :~JO~A s,Jseu!bu8 leUO!SSe)oJd @qi u! suo!ss!Luo JO sJoJJa Jo~ alq!suodsaJ ~,ou s! abeJoqou¥ jo/,~!led!o!un!AI @qJ. 'penss! s! e~eo!j!peo e eJo,teq e~ep aZ~leUe Jo suo!loadsu! ~,onpuoo ~ou op SHHC] ~o sea~oldLu3 's~uau~eJ!nbaJ ale,s pue leJape~ u!e~,Jao/~Js!ies o~ Jap Jo u! suo!lmj~su! 8u!puel J!eq~ pue seu~oq jo sJeseqoJnd o~/~sepnoo e se s!q~ seop SHHQ eqj. 'e~SelV ~o alelS eq~ u! peJe~s!beJ JeeuiSue leUO!SSejOJd ~uapuedepu! ue ,~q a^oqe c; qdeJ§eJed u! ua^ih suo!le~ueseJdaJ aq1 uodn ~lUO paseq sa~eogi~@o le^oJdd¥/~!Joq~n¥ q~leaH sanss! (SHHQ) sao!^JeS ueuunH pue q~leaH jo ~ueLupedaQ abeJoqou¥ )o /~!led!ojunR eq/ NOI/F1YO le^oJdd¥ leUO!~!puoO jo swJa/ leUOfl!puoo pe^oJddes!d _ -'~/'~,-~ pe^oJdd¥ ~.~~~ Aq sLuooJpaq (~/~,~-¢~lYAO add'J°J peAmdd¥sHHO RECEIVED WELL DATA MuNICIPALI'[Y OF AN(>I©2>~M~'~JNICIPALITY OF ANCHORAGE (MO,-,/ ENVIRONMENTAL ~I~RYI(;E,~ Di'~lqTM AUTHORITY APPROVAL (HAA) CHECKLIST- FI::.BRUARY 1984 MAY 2 8 1987 26.4?20 Legal Description: /Lcd'7"- Well Classification .,- ~./~II/'/¢'¢~-4¢ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (~'~) Date Completed ~-¢'~ ¢- 2 G Yield Total Depth .,//-¢/,~ -¢¢ Cased to /¢-'// "~ Depth of Grouting Static Water Level ~.¢('~/-~ Pump Set At Casing Height Above Ground Electrical Wiring in Conduit Separation Distances from Well: To Septic/Holding Tank on Lot Sanitary Seal on CasingCN) ~ Depression Around Wellhead (Ye To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by ~ ~' /Cz' Water Sample Test Results J ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~-/'¢'~'¢~' Size /¢/T.r¢2 No. of Compartments ~- Standpipes CN) Air-tight Caps CN) Foundation Cleano/ut ~/~) Depression over Tank (Y~/'~ Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ,,~/'/~ ; for Holding Tank High-Water Alarm (Y/N) ,,c//.,4- (emporary Holding 'Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well /-~¢ / To Property Line ~to ~ To Water Main/Service Line __ /O '7~' / Course /¢~0 / To Building Foundation To Disposal Field To stream, Pond, Lake, or Major Drainage Comments Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ -/¢¢ ~,¢~ Width of Field /~ Square Feet of Absorption Area Depression over Field (Y,~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present CN) Date of Last Adequacy Test To Building Foundation Lot //'//~' To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line Comments To Existing or Abandoned System on ; On Adjoining Lots /¢' "/- ' To Cutbank (if present) ,4///4- / /O ¢- LIFT STATION Size in Gallons % "Pump On" Level at -'""'"'""'""~~ High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** ~'----~._~_ I certify t hat I h.h.h~,~h,~e/d.., v~rified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Company ~ MOA No. 72-026 (11/84) ~.~ CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. ~°~ ~ / ..,~'.-"~'',.",~ ~ FEDERAL TAX ID # 92-0040440 '"' '3'" 0 t~ L.. O-F' U OT '7_ o~.~,. % AS-BUILT I HEREBY CERTIFY THAT AN ACCURATE SURVEY OF TIlE PROPERTY SHOWN HEREON WAS MADE ON .c~ .:~ ~ E,'..~ , AND THAT THE INF'ROVEMENTS SITUATED THEREON ,ARE WITHIN THE PROPERTY LINES AND DO HOT ENCROADH ON THE ADJACENT PROPERTY, THAT NO IMPROVEMENTS ON ADJA~2ENT PROF'ERTY E:NCROACtt ON THE PROPERTY SHOWN HEREON, AND THAT THERE ARE NO ROADWAYS, UT I L lTV L I NE$, OR OTHER V I S I BLE EA$£MENT$ ON SAID PROPERTY EXCEPT AS INDICATED HEREON. ,,IOHN HERRIHG AND AssOCIATeS